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1 itation, symptoms, and frequency of previous exacerbations).
2 tcome was any protocol-defined severe asthma exacerbation.
3 time to first protocol-defined severe asthma exacerbation.
4 l GWG (P < .001) compared with women without exacerbation.
5  with viruses to increase the risk of asthma exacerbation.
6 p were also associated with those who had an exacerbation.
7 onse that involves eosinophils underlies the exacerbation.
8  acute chronic obstructive pulmonary disease exacerbation.
9 ed at curbing allergic lung inflammation and exacerbation.
10 tic that is usually not seen during an acute exacerbation.
11 nd/or MCP-1 in the mechanisms of RSV-induced exacerbation.
12  failure (25-15%) in severe hypercapnic COPD exacerbations.
13 ne FEV1 but was influenced by the history of exacerbations.
14 mmunoinflammatory cascade that drives asthma exacerbations.
15 eased susceptibility to virus-induced asthma exacerbations.
16 increased predictive value for future severe exacerbations.
17 h muco-obstructive lung disease to bacterial exacerbations.
18 ent the most common cause of allergic asthma exacerbations.
19 patients required in a drug trial for severe exacerbations.
20 at maintain asthma control and reduce asthma exacerbations.
21 ct infections synergistically promote asthma exacerbations.
22 ted nucleotide metabolism associated with CF exacerbations.
23  predictive value of clinical covariates for exacerbations.
24 OPD, FEV1 of less than 50%, and a history of exacerbations.
25  biomarkers to clinical variables to predict exacerbations.
26  more effective strategies to prevent asthma exacerbations.
27 allergy further increases the risk of asthma exacerbations.
28 was used to identify risk factors for asthma exacerbations.
29 il thresholds and a history of more frequent exacerbations.
30 allergic sensitization, severity, and recent exacerbations.
31 e of the main causes of virus-induced asthma exacerbations.
32 e before and after rhinovirus-induced asthma exacerbations.
33 noviruses (HRVs) commonly precipitate asthma exacerbations.
34 ceptor alpha reduces the frequency of asthma exacerbations.
35 eby MCs may contribute to HRV-induced asthma exacerbations.
36 als for the CompEx versus episodes of severe exacerbations.
37 ts with COPD, during both stable disease and exacerbations.
38 gest the important role of allergy in asthma exacerbations.
39 herapeutic approach for virus-induced asthma exacerbations.
40 response to antibiotic therapy for pulmonary exacerbations.
41  secondary to allergen- and pathogen-induced exacerbations.
42 om severity may all contribute to decreasing exacerbations.
43 rleukin-8 concentrations, than were no acute exacerbations.
44 ma symptom days (90.7 vs 41.2, P = .004) and exacerbations (1.4 vs 0.6, P = .006), while similar prot
45 ma symptom days (90.7 vs 53.2, P = .020) and exacerbations (1.4 vs 0.8, P = .009) thanNW children did
46 zard ratio (HR) was 5.0 (95% CI 2.8-8.9) for exacerbations, 1.7 (1.3-2.2) for pneumonia, 0.7 (0.2-3.0
47  Corresponding HRs were 15.5 (11.0-21.8) for exacerbations, 2.8 (2.4-3.3) for pneumonia, 4.3 (2.8-6.7
48 cebo group had attended the hospital with an exacerbation (36 [29.3%] of 123 vs. 49 [41.5%] of 118; P
49 acerbations per year than in those with zero exacerbations (4194+/-878 vs. 2458+/-113 mug per millili
50 ls), rates of hospital attendance for asthma exacerbations (-9.83% [-16.62 to -3.04]; five studies, 6
51 ors of future exacerbations include previous exacerbation, airflow obstruction, poor overall health,
52 salmeterol/fluticasone for the prevention of exacerbations (all severities, or moderate or severe) in
53  the role of ILC2s in asthma persistence and exacerbation among human subjects, and thus, regulation
54               Time to first protocol-defined exacerbation analysis revealed a significantly different
55  10) were performed at the time of pulmonary exacerbation and after antibiotic therapy.
56 otified if a participant met criteria for an exacerbation and contacted participants to determine if
57   Stress is a ubiquitous risk factor for the exacerbation and development of affective disorders incl
58 complicated due to risk for maternal disease exacerbation and potential for fetal and neonatal compli
59    Secondary outcomes included time to first exacerbation and subsequent exacerbation, quality of lif
60 e significantly associated with a history of exacerbation and with a future exacerbation, but there w
61 jects in the SARP-3 cohort, 294 (41%) had no exacerbations and 173 (24%) were exacerbation prone in t
62 evere COPD and associated with more frequent exacerbations and a loss of microbiota diversity.
63 ) are more frequent than those for acute IPF exacerbations and are associated with poor outcomes.
64 itulates all major features of severe asthma exacerbations and can serve to discern driving mechanism
65 ring periods of disease stability and during exacerbations and compared with clinical measures of dis
66 s pDC numbers were markedly increased during exacerbations and correlated with the severity of inflam
67 uration and, with standardised collection of exacerbations and diary card variables, were used to con
68 ed to understand year to year variability in exacerbations and factors associated with consistent exa
69 as been shown to significantly reduce asthma exacerbations and improve lung function for patients wit
70 y be a source of stress-induced inflammatory exacerbations and pain.
71                   We obtained information on exacerbations and pneumonia from the National Danish Pat
72 , asymptomatic COPD had an increased risk of exacerbations and pneumonia.
73   A strong association exists between asthma exacerbations and respiratory viral infections, and inte
74 articularly successful in controlling asthma exacerbations and suggest ways in which future clinical
75 2 months and decreased the numbers of severe exacerbations and the dose of oral corticosteroids.
76 bations (individuals who had both years with exacerbations and years without during the 3 years of fo
77                                   We defined exacerbations (and acute respiratory events in those wit
78 uitment, increased eosinophil number, recent exacerbation, and higher treatment step were also associ
79 rol ligands for EBI2 are increased in asthma exacerbation, and if or how they promote Eos pulmonary m
80 sis, asthma phenotypes, severe asthma, acute exacerbations, and clinical management of disease in adu
81 reterm birth, hospital attendance for asthma exacerbations, and hospital attendance for respiratory t
82 rapidly depletes eosinophils, reduces asthma exacerbations, and improves lung function for patients w
83 roup with more severe disease, more frequent exacerbations, and increased emphysema by QCT.
84 ent association was found with dyspnea, QoL, exacerbations, and mortality.
85 comorbid conditions, allergic sensitization, exacerbations, and very poorly controlled asthma, includ
86 ed on Asthma Control Test scores, numbers of exacerbations, and visits to the emergency department (a
87                                              Exacerbations are associated with accelerated lung funct
88 erefore, trials that assess drug efficacy on exacerbations are done late in clinical development prog
89                             We defined total exacerbations as subject-reported worsening in respirato
90 rticosteroids and/or antibiotics, and severe exacerbations as those leading to hospitalizations or em
91 zema (AE) is colonization by S. aureus, with exacerbations associated with an increased bacterial bur
92 pes were assessed as predictors of number of exacerbations, asthma severity, and airway lability.
93                                      Disease exacerbation at thermoneutrality was conserved across mu
94 ely to have respiratory infections and acute exacerbations at baseline or to develop them subsequentl
95 nificantly associated with the occurrence of exacerbations but were not robust between cohorts and ad
96 th uncontrolled severe asthma with increased exacerbations but with normal lung function.
97  a history of exacerbation and with a future exacerbation, but there was minimal replication between
98 costeroid monotherapy in controlling disease exacerbations, but their effect on airway remodelling an
99 can be stratified into prevention of disease exacerbations by using proactive approaches (with either
100              Disease severity (dyspnea, QoL, exacerbations, comorbidities) and prognosis (mortality)
101 t step were associated with those who had an exacerbation compared with those who did not.
102 mmon adverse events were infective pulmonary exacerbations, cough, increased sputum, and haemoptysis.
103 omial model was used to assess predictors of exacerbation count during follow-up in all patients with
104 iary events) that, when combined with severe exacerbations, create a composite outcome (CompEx).
105 bability of having an allergic rhinitis (AR) exacerbation day (from 11% [placebo] to 5% [SQ house dus
106 49%) of 1105 patients had at least one acute exacerbation during the 3 years of follow-up, whereas 56
107 yzed to characterize those who had an asthma exacerbation during the Preventative Omalizumab or Step-
108                    We assessed retrospective exacerbations during the 12 months before enrollment and
109 (7%) of 1105 patients had at least one acute exacerbation each year, whereas only 23 (2%) had two or
110  end point was the annualized rate of asthma exacerbations (events per patient-year) at week 52.
111 oesophageal reflux were also associated with exacerbation frequency (1.7 [1.4-2.1] and 1.6 [1.3-2.0])
112 socioeconomic status) did not associate with exacerbation frequency in SARP-3; bronchodilator respons
113                   RATIONALE: Reducing asthma exacerbation frequency is an important criterion for app
114 onists (LAMAs) provide greater reductions in exacerbation frequency than either their monocomponents
115 h a severe COPD phenotype, including greater exacerbation frequency, and whether blood eosinophils ar
116   We classified patients according to yearly exacerbation frequency: no exacerbations in any year; on
117 ith higher baseline symptom burden, previous exacerbations, greater evidence of small airway abnormal
118     In logistic regression, consistent acute exacerbations (&gt;/=1 event per year for 3 years) were ass
119  than usual care arm subjects (time to first exacerbation hazard ratio, 1.45; 95% confidence interval
120 chronic obstructive pulmonary disease (COPD) exacerbations, helium/oxygen (heliox) reduces the work o
121 ent baseline blood eosinophil thresholds and exacerbation histories.
122 flammation during a rhinovirus-induced acute exacerbation; however, only anti-IL-33 boosted antiviral
123 ed mental status and late multiple sclerosis exacerbation in another patient.
124 ct those children unlikely to have an asthma exacerbation in both groups.
125        A higher saEPI was associated with an exacerbation in both the GBT alone (P < .001; area under
126 frequency: no exacerbations in any year; one exacerbation in every year during 3 years of follow-up;
127 ses were patients with COPD and at least one exacerbation in the past year or FEV1 less than 60% of p
128 or with mild COPD (FEV1 >/=60% predicted, no exacerbation in the past year).
129 r or FEV1 less than 60% of predicted without exacerbation in the past year.
130 an 50%, at least one moderate-to-severe COPD exacerbation in the previous 12 months, and a COPD Asses
131 eight (25.8%) patients experienced an asthma exacerbation in the prior 3 months requiring hospital at
132 ardless of whether subjects had a history of exacerbation in the year before the study or an FEV1 <60
133 cording to yearly exacerbation frequency: no exacerbations in any year; one exacerbation in every yea
134 g bronchodilators to treat asthma and wheeze exacerbations in children 0-18 years presenting to the E
135 to detect responses to therapy for pulmonary exacerbations in children with CF.
136 able bedding and its impact on severe asthma exacerbations in children.
137 e enrollment and then documented prospective exacerbations in each cohort.
138 , whereas only 23 (2%) had two or more acute exacerbations in each year.
139 th asthma inception in early life and asthma exacerbations in older children and adults.
140  corticosteroids have been shown to decrease exacerbations in patients with moderate to severe chroni
141 olizumab, an IL-5-blocking antibody, reduces exacerbations in patients with severe eosinophilic asthm
142 duce the frequency of clinically significant exacerbations in patients with severe eosinophilic asthm
143                                      Whether exacerbations in subjects with mild COPD or similar acut
144  inner-city children with and without asthma exacerbations in the fall period treated with guidelines
145 , the mean annual rate of moderate or severe exacerbations in the modified intention-to-treat populat
146  clinical risk score composed of >/=2 severe exacerbations in the past year (+2 points), history of n
147  Patients were classified by their number of exacerbations in the past year: none, few (one to two),
148 tion 50/500 mug in patients with one or more exacerbations in the preceding year.
149 n this longitudinal, prospective analysis of exacerbations in the Subpopulations and Intermediate Out
150                      This was an analysis of exacerbations in the SUMMIT (Study to Understand Mortali
151       In addition to symptoms and history of exacerbations in the year before study enrolment, we ide
152               Published predictors of future exacerbations include previous exacerbation, airflow obs
153                                         This exacerbation includes increase of IL-5, IL-13, eotaxin a
154  novel biomarkers associated with consistent exacerbations, including CT-defined small airway abnorma
155 rs of follow-up; and those with inconsistent exacerbations (individuals who had both years with exace
156                     Assessing future risk of exacerbations is an important component of asthma manage
157  budesonide versus placebo for severe asthma exacerbations, lung function, and asthma symptom control
158                                       During exacerbations, MMP-1 activity increased and was associat
159 The early intervention arm subjects detected exacerbations more frequently than usual care arm subjec
160 markers of disease severity, and with future exacerbations, mortality and lung function decline over
161 il count is associated with the risk of COPD exacerbations, mortality, decline in FEV1, and response
162  trajectory and persistently frequent severe exacerbations need to be identified early to guide treat
163 uality is misleading as oxidative stress and exacerbation occur when oxidant foods (e.g. fava beans)
164  associated with an increased risk of asthma exacerbation (odds ratio, 9.35; 95% CI, 6.39-13.68; P <
165 cells into the circulation not only leads to exacerbation of AD through T-cell skin infiltration but
166 ll-like receptor (TLR) 2, TLR4 and MyD88, in exacerbation of allergen-induced lung eosinophilia cause
167 nt with a DNA-demethylating agent alleviated exacerbation of allergic airway inflammation.
168 sly established a mouse model of RSV-induced exacerbation of allergic airways disease, which mimics h
169 elop therapeutics to treat the virus-induced exacerbation of asthma.
170 cytes are key players in the development and exacerbation of atherosclerosis, which prompts the quest
171 tes have been implicated in the etiology and exacerbation of atopic dermatitis.
172 ads to an increase in the number of OCs, and exacerbation of bone damage.
173 h sham-operated controls, CKD mice exhibited exacerbation of cardiac dysfunction and lung inflammatio
174 ction is associated with the development and exacerbation of childhood asthma.
175 tent, and reproducible mouse model of severe exacerbation of chronic allergic asthma.
176                Stress is associated with the exacerbation of clinical symptoms and the induction of r
177 d the noradrenergic system to demonstrate an exacerbation of cognitive deficits, neuroinflammation, n
178 th persistent hypercapnia following an acute exacerbation of COPD, adding home noninvasive ventilatio
179  cells or conditioning therapy, resulting in exacerbation of GVHD.
180                                         IL-4 exacerbation of histamine-induced hypovolemic shock in m
181 losteric modulation of mGluR5 results in the exacerbation of hyperactivity and epileptic phenotypes.
182 SC by adoptive transfer caused a significant exacerbation of infection in S. aureus-infected mice.
183           The most serious side effects were exacerbation of left ventricular failure in patients wit
184 polysaccharide may be a strong candidate for exacerbation of murine lung eosinophilia.
185 lleviation of inflammatory processes and the exacerbation of neurodegenerative processes, androgens m
186 ive mitochondrial dysfunction and consequent exacerbation of oxidative stress.
187 vivors for therapy-related complications and exacerbation of preexisting conditions are important and
188 deficiency (Il17ra(-/-) ) resulted in severe exacerbation of skin inflammation.
189 ission to a psychiatric inpatient unit after exacerbation of symptoms within 2 years of first present
190 t of male reproductive organ development and exacerbation of the C (+/+)/Tia1 (-/-) testis transcript
191 s and IL-17C+KO mouse skin, and confirmed an exacerbation of the inflammatory signature in IL-17C+KO
192 sDNA) following rhinovirus infection and the exacerbation of type-2 allergic inflammation in humans.
193 ify pregnancy-related risk factors for acute exacerbations of asthma during pregnancy.
194 ng otitis media, chronic rhinosinusitis, and exacerbations of both cystic fibrosis and chronic obstru
195   Bacterial respiratory tract infections and exacerbations of chronic lung diseases are commonly caus
196                                              Exacerbations of COPD were an additional predefined endp
197 cess deaths from ischaemic heart disease and exacerbations of COPD.
198 ebo-controlled trials in patients with acute exacerbations of schizophrenia, and they investigate whi
199 vere lower respiratory tract infections, and exacerbations of underlying disease; 0.2%-11.5% of hospi
200 blished clinical features were predictive of exacerbations, of the blood biomarkers only decorin and
201 models to fit FEV1 decline based on reported exacerbations or acute respiratory events.
202 d with placebo, irrespective of a history of exacerbations or baseline FEV1.
203 ot a reliable biomarker for COPD severity or exacerbations, or for sputum eosinophils.
204             Among patients who had any acute exacerbation over 3 years, very few repeatedly had two o
205 tions and factors associated with consistent exacerbations over time.
206 ty was associated with a higher frequency of exacerbations (P < 0.0001) but was not independently ass
207 s of NET complexes in patients with frequent exacerbations (P = .002).
208        Sputum elastase activity increased at exacerbations (P = 0.001) and was responsive to treatmen
209  but no evidence of an association with COPD exacerbations (p=0.35) or the other indices of COPD seve
210 aled a significantly different between-group exacerbation pattern that was consistent with the primar
211 in participants with two or more respiratory exacerbations per year than in those with zero exacerbat
212  virus (RSV) activity with risk of pulmonary exacerbation (PEx) in persons with CF in the United Stat
213 d, symptomatic COPD had an increased risk of exacerbations, pneumonia, and death.
214 proportional hazard models to assess risk of exacerbations, pneumonia, deaths due to respiratory caus
215 otype with implications for the targeting of exacerbation prevention strategies.
216 in the past year: none, few (one to two), or exacerbation prone (>/=3).
217 41%) had no exacerbations and 173 (24%) were exacerbation prone in the prior year.
218 thma therapies, but the clinical features of exacerbation-prone asthma (EPA) remain incompletely defi
219                    Our results indicate that exacerbation-prone asthma may be a separate asthma endot
220 pic: (n = 153); "Late-onset" (n = 105); and "Exacerbation-prone asthma" (n = 13).
221 chodilator responsiveness also discriminated exacerbation proneness from asthma severity.
222 ative Omalizumab or Step-Up Therapy for Fall Exacerbations (PROSE) study.
223 ed time to first exacerbation and subsequent exacerbation, quality of life, and change in weight.
224 lated with bronchial neutrophils (r = 0.54), exacerbation rate (r = 0.41), and FEV1 (r = -0.46).
225  that long-acting bronchodilators can reduce exacerbation rate and/or severity, and others have shown
226 significantly associated with a lower asthma exacerbation rate during the outcome period and correlat
227                     The annualised pulmonary exacerbation rate in patients continuing treatment throu
228 nistered every 4 weeks resulted in an annual exacerbation rate that was 55% lower than the rate with
229 nistered every 8 weeks resulted in an annual exacerbation rate that was 70% lower than the rate with
230 s) to severe asthmatics (SAs) in relation to exacerbation rate.
231 primary endpoint was moderate-to-severe COPD exacerbation rate.
232 te ratio, 1.6; 95% CI, 1.1-2.3; P = .03) and exacerbations (rate ratio, 1.9; 95% CI, 1.1-3.3; P = .02
233  To identify distinct trajectories of severe exacerbation rates among "problematic asthma" patients a
234                                        Thus, exacerbation rates in the respective tezepelumab groups
235                                       Severe exacerbation rates over five years for 177 "problematic
236                           Moderate-to-severe exacerbation rates were 0.46 (95% CI 0.41-0.51) for fixe
237 high fractional exhaled nitric oxide levels, exacerbation rates, and oral corticosteroid use, whereas
238                                Annual asthma exacerbation rates, lung function, symptoms, and safety
239  been associated with increased frequency of exacerbations, reduced lung function, and corticosteroid
240 st MS patients experience periods of symptom exacerbation (relapses) followed by periods of partial r
241 mechanisms associated with steroid-resistant exacerbations remain largely unknown.
242 the context, yet their involvement in asthma exacerbations remains unexplored.
243 D supplementation reduced the rate of asthma exacerbation requiring treatment with systemic corticost
244  the 16-week ICS dose-stable phase, rates of exacerbations requiring >/=3 days of systemic corticoste
245                                              Exacerbations requiring corticosteroids treatment were m
246      The primary end points were the rate of exacerbations requiring hospitalization and the rate of
247             Mepolizumab approximately halved exacerbations requiring hospitalization and/or emergency
248 ns requiring hospitalization and the rate of exacerbations requiring hospitalization/emergency room v
249        For budesonide versus placebo, severe exacerbations requiring oral or systemic corticosteroids
250 ophilic asthma and a history of at least two exacerbations requiring treatment in the previous 12 mon
251 D supplementation reduces the rate of asthma exacerbations requiring treatment with systemic corticos
252     Present treatment strategies to stratify exacerbation risk in patients with chronic obstructive p
253 Identify Undiagnosed Respiratory Disease and Exacerbation Risk), was used to assess exposure, breathi
254 nced by improved symptom control and reduced exacerbation risk.
255                            Women with asthma exacerbation(s) had larger gestational weight gain (GWG)
256         RVs were detected in 97 (57%) of 171 exacerbation samples and 2,150 (36%) of 5,959 nonexacerb
257  with anti-IL-33 or dexamethasone diminished exacerbation severity, and anti-IL-33, but not dexametha
258 ss, and MMP-1 activation are associated with exacerbation severity.
259  Although glucocorticoids are used to manage exacerbations, some patients respond to them poorly.
260 malizumab or Step-up Therapy for Severe Fall Exacerbations) study, we examined children with allergic
261 copyronium vs Fluticasone Salmeterol on COPD Exacerbations) study, which compared once-daily long-act
262 nasal mucosa of neutrophilic asthma prone to exacerbation, suggesting a pathogenic role of IL-17F in
263 th a lower annual rate of moderate or severe exacerbations than placebo among patients with COPD and
264 lower rates of clinically significant asthma exacerbations than those who received placebo, independe
265 ong patients with CF was able to detect more exacerbations than usual care, but this did not result i
266 ol of chronic asthma and reduction in asthma exacerbations, the major cause of asthma mortality.
267 emergency hospital attendance with an asthma exacerbation to receive mite-impermeable (active group)
268               FF/VI also reduced the rate of exacerbations treated with corticosteroids alone or with
269      Subgroup analyses of the rate of asthma exacerbations treated with systemic corticosteroids reve
270 e progression, established disease, or viral exacerbation using a preclinical model of chronic asthma
271 ether effects of vitamin D on risk of asthma exacerbation varied according to baseline 25-hydroxyvita
272                        The rate of pulmonary exacerbation was 35% lower in the tezacaftor-ivacaftor g
273 Obstructive Lung Disease stage 1, where each exacerbation was associated with an additional 23 ml/yr
274                                           An exacerbation was defined as a burst of systemic corticos
275 e groups in the risk of prednisolone use for exacerbation was found (hazard ratio, 0.82; 95% CI, 0.58
276                                          The exacerbation was preceded at 14 h after virus exposure b
277 icipants to determine if treatment for acute exacerbation was required.
278 , the mean annual rate of moderate or severe exacerbations was 1.19 per year in the 100-mg mepolizuma
279 l rate of emergency hospital attendance with exacerbations was 27% lower in the active group than in
280 bo, on the annual rate of moderate or severe exacerbations was found among patients with higher blood
281 hmatic patients with stable disease or acute exacerbations was further studied to determine the prese
282 tion period, the occurrence of severe asthma exacerbations was investigated.
283 t pattern (both years with and without acute exacerbations) was common (456 [41%] of the group), part
284 ignificantly reduces the incidence of asthma exacerbations, was also effective as an oral glucocortic
285                       In subjects with COPD, exacerbations were associated with excess FEV1 decline,
286                                              Exacerbations were modeled for biomarker associations wi
287 for RVs, and respiratory symptoms and asthma exacerbations were recorded over a 90-day period during
288                            Myasthenia gravis exacerbations were reported by six (10%) patients in the
289 c airway disease (AAD) and virus-induced AAD exacerbations were used to dissect pDC function in vivo
290 worsened during cough episodes and pulmonary exacerbations, whereas similar symptoms in healthy child
291 sis (CF) experience frequent acute pulmonary exacerbations, which lead to decreased lung function and
292 ncytial virus (RSV) infection induces asthma exacerbations, which leads to worsening of clinical symp
293 COPD who had a history of moderate or severe exacerbations while taking inhaled glucocorticoid-based
294 e interval, 2-44; P = 0.03), and each severe exacerbation with an additional 87 ml/yr decline (95% co
295 rflow obstruction experienced a reduction in exacerbations with FF/VI compared with placebo, irrespec
296 ically significant reductions in the rate of exacerbations with mepolizumab treatment.
297 in a separate trial designed to prevent fall exacerbations with omalizumab therapy.
298 reviously unsuspected role of pDCs in asthma exacerbations with potential diagnostic and prognostic i
299 viruses (HRVs) are a major trigger of asthma exacerbations, with the bronchial epithelium being the m
300 ding pathogens in asthma onset, severity and exacerbation, yet with the exception of antibiotics, few

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